• 제목/요약/키워드: graft union

검색결과 119건 처리시간 0.029초

관절함몰형 종골 골절에 대한 다공성 하이드록시 아파타이트를 이용한 수술적 치료 (The Operative Treatment using Porous Hydroxyapatite for Intraarticular Calcaneal Fractures of Joint Depression Type)

  • 최의성;김용민;김동수;손현철;박경진;조병기;박지강;유준일
    • 대한족부족관절학회지
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    • 제14권1호
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    • pp.58-65
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    • 2010
  • Purpose: This study was performed to evaluate the clinical outcomes of operative treatment using porous hydroxyapatite for intraarticular calcaneal fracture of joint depression type. Materials and Methods: Twenty patients with intraarticular calcaneal fracture were followed up for more than 1 year. The period to union was calculated to evaluate the osteoconductivity of porous hydroxyapatite used as bone graft substitute. The measurement of Bohler angle, Gissane angle and the degree of articular surface depression was performed through preoperative and postoperative radiographs. The clinical evaluation was performed according to hindfoot score of the American Orthopaedic Foot and Ankle Society (AOFAS) and scale of the Creighton-Nebraska health foundation (CNHF). Results: Bohler angle and Gissane angle had improved significantly from preoperative average $10.4^{\circ}$, $117.8^{\circ}$ to average $22.6^{\circ}$, $113.5^{\circ}$ immediate postoperatively, and had maintained to average $21.2^{\circ}$ and $114.4^{\circ}$ at the last follow-up. The degree of articular surface depression had improved significantly from preoperative average 4.8 mm to 1.5 mm at the last follow-up. All cases achieved bone union, and the interval to union was average 12.8 weeks. AOFAS score was average 85.2 points at last follow-up. There were 7 excellent, 10 good, and 3 fair results according to the CNHF scale. Therefore, 17 cases (85%) achieved satisfactory results. Conclusion: Plate fixation using porous hydroxyapatite seems to be one of effective treatment methods for intraarticular calcaneal fracture of joint depression type, because of supporting the reduction of subtalar articulation by augmenting bony defect and facilitating bone formation. Further evaluation about long-term radiological changes and histological analysis on hydroxyapatite implantation site should be required.

저온처리에 의한 Kiwifruit나무의 내성에 관하여 (Effect of Low Temperature Treatment on the Bud, Bark and Growth of Kiwifruit tree)

  • 정삼택;한교필
    • Current Research on Agriculture and Life Sciences
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    • 제11권
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    • pp.25-30
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    • 1993
  • Hayward/Bruno 나무의 눈은 $-7^{\circ}C$에서 피해를 입었으나 -15와 $-19^{\circ}C$의 저온에서는 심한 피해를 나타내었다. 표피조직은 눈보다 정노에 더 예민하였다. 그리고 저온에 처리후 화분에 재식된 Kiwifruit tree는 $-7^{\circ}C$, $-11^{\circ}C$$-15^{\circ}C$의 처리에서는 생존하였고 눈의 싹이 터졌다. 그러나 $-19^{\circ}C$에서 처리한 나무는 접수에서는 전연 싹이 터지 않았고, 대목에서 새로운 가지가 발생되었다. 저온에 의한 Kiwifruit tree의 반응으로는 전개된 잎의 표면에 황색의 반점이 나타났고, 또 새로 발생한 가지가 신장 생장이 되지 않았다. 그래서 앞으로 이러한 저온에 대한 피해를 막기 위하여 저온에 강한 대목의 선발이 필요하다고 믿는다.

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제주도의 주요 감귤바이러스 감염상황 (Incidence of three Major Citrus Viruses in Cheju Island)

  • 김대현;오덕철;현재욱;권혁모;김동환;이성찬
    • 식물병과 농업
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    • 제5권1호
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    • pp.34-40
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    • 1999
  • The virus infection rates and disease symptoms of three major citrus viruses, citrus tristeza virus (CTV), satsuma dwarf virus (SDV), and citrus tatter leaf virus (CTLV), were investigated at 35 citrus orchards in Cheju Island from 1995. The infection rates of CTV, SDV, and CTLV were 69.8%, 8.6%, and 9.3%, respectively. However, depending on cultivars there were significant differences in the infection rates. The infection rates of CTV were highest in early satsuma mandarin (Citrusunshiu) with 80.9% and lowest in very early satsuma mandarin with 51.9%. In SDV, the highest was in very early stasuma mandarin with 23.1% and the lowest was in early satsuma mandarin with 6.3%. And the highest infection rate in very early satsuma mandarin with 17.9% and the lowest in tangors with 7.3% in CTLV. The symptoms of virus-infected citrus were very diverse; small and abnormal shape of fruits, abnormal leaves such as narrow boat and small spoon shapes of leaves, stem-pitting on the twig, bud-union crease and swelling of the graft part, reduction of the plant vigor and poor yields.

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Free Flap Transplantation in Open Tibial Fracture with Vessel Injury in the Elderly

  • Yu, Chang Eun;Yoo, Myung-Jae;Lee, Jun-Mo
    • Archives of Reconstructive Microsurgery
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    • 제23권1호
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    • pp.18-20
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    • 2014
  • Two aged patients who had open tibial fractures with arterial injury caused by high energy accidents underwent emergency arterial reconstruction using a greater saphenous vein and soft tissue repair using free flaps. In the patients, soft tissue necrosis developed and tibias were exposed at postoperative third week. Follow-up angiography through the superficial femoral artery showed occlusion of the anterior tibial artery. The anterior tibial artery was reconstructed using the contralateral greater saphenous vein graft and the latissimus dorsi myocutaneous and rectus abdominis muscle free flaps were transplanted for repair of necrotic soft tissue. The reconstructed arteries showed good perfusion to the new free flaps until union of the tibias occurred. The patients were followed-up for 21 years and 17 years postoperatively, respectively. In management of open comminuted fracture of the tibia, injury of the arterial system must be ruled out by angiography in addition to evaluation of the degree of soft tissue injury.

The Metabolism of (2-$^{14}C$) Mevalonic Acid on Photoperiodic Induction in Grafted Solanum Andigena

  • Bae, Moo;Mercer, E.I.
    • Nuclear Engineering and Technology
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    • 제2권2호
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    • pp.73-84
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    • 1970
  • Solanum andigena의 괴경생성형상과 스테톨의 관계를 구명하기 위하여 방사성 매바론산을 이용하여 대사를 연구하였다. 괴경생성에 단일광조성수도를 요하는 단일식물과 괴경을 생성치 않는 장일식물을 접목 시켰을때 장일식물이 괴경생성 홀몬을 받아 괴경을 생성하는 현상을 스테로이드와 결부시켜 구명할려고한것이다. 이 연구에서 각종 방사성 스테톨이 특수장치한 까스 크로마토 그라피로서 분리 측정되었다. 여기서 분리된 각종 스테톨이 직정 괴경생성홀몬이라는 근거는 찾을 수 없으며, 이들이 괴경의 포대성장에 필요한 인자로서 관여하고 있는 것으로 논의되었다.

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상완골 골절과 동반된 요골 신경 손상에서 자가 비복 신경 이식술의 결과 (Results of the Autogenous Sural Nerve Graft for Ruptured Radial Nerve in the Closed Humerus Shaft Fracture)

  • 이준모;임영진;박종혁
    • Archives of Reconstructive Microsurgery
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    • 제14권2호
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    • pp.138-143
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    • 2005
  • In the high radial nerve palsy caused by displaced humeral shaft fracture, radial nerve have to be explored in the fracture site. 5 cases of the ruptured radial nerve at the fracture site of the humerus from January 1993 through January 2005 were treated at first by open reduction and internal fixation with plates and screws fixation and then defective radial nerves were grafted with autogenous sural nerves by microsurgical epineurial and or perineurial neurorrhaphy. At average 30.4 months follow-up, 5 cases were recovered from motor and sensory deficit with solid bony union of the humerus shaft fracture. Authors have confirmed that ruptured radial nerve in the humerus shaft fracture grafted with autogenous sural nerve with microsurgical epineurial and or perineurial neurorrhaphy would be expected good motor and sensory recovery.

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Vascularized bone grafts for post-traumatic defects in the upper extremity

  • Petrella, Giovanna;Tosi, Daniele;Pantaleoni, Filippo;Adani, Roberto
    • Archives of Plastic Surgery
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    • 제48권1호
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    • pp.84-90
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    • 2021
  • Vascularized bone grafts (VBGs) are widely employed to reconstruct upper extremity bone defects. Conventional bone grafting is generally used to treat defects smaller than 5-6 cm, when tissue vascularization is adequate and there is no infection risk. Vascularized fibular grafts (VFGs) are mainly used in the humerus, radius or ulna in cases of persistent non-union where traditional bone grafting has failed or for bone defects larger than 6 cm. Furthermore, VFGs are considered to be the standard treatment for large bone defects located in the radius, ulna and humerus and enable the reconstruction of soft-tissue loss, as VFGs can be harvested as osteocutaneous flaps. VBGs enable one-stage surgical reconstruction and are highly infection-resistant because of their autonomous vascularization. A vascularized medial femoral condyle (VFMC) free flap can be used to treat small defects and non-unions in the upper extremity. Relative contraindications to these procedures are diabetes, immunosuppression, chronic infections, alcohol, tobacco, drug abuse and obesity. The aim of our study was to illustrate the use of VFGs to treat large post-traumatic bone defects and osteomyelitis located in the upper extremity. Moreover, the use of VFMC autografts is presented.

Guided Bone Regeneration in Comminuted Long-Bone Fractures Using Recombinant Human Bone Morphogenetic Protein-2 and a Collagen Membrane

  • Jang, Kwangsik;Jo, Hyun Min;Shim, Kyung Mi;Kim, Se Eun;Kang, Seong Soo
    • 한국임상수의학회지
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    • 제39권2호
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    • pp.59-64
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    • 2022
  • A dog aged two years and seven months and a cat aged seven years were referred owing to fractures of long bones. Preoperative radiographs revealed comminuted bone fractures close to joints. Conventionally, long-bone fractures are treated using intramedullary pins, plate and screw systems, or an external fixator system. In cases of non-reducible fractures, various graft materials have been used in fracture treatments to stimulate bone repair. Here, recombinant human bone morphogenetic protein-2 (rhBMP-2) and a collagen membrane were applied. Four weeks after surgery, fractured bone fragments began to unite and the bone union was observed using radiography four months after surgery. No complications occurred related to grafted materials. We successfully applied rhBMP-2 and collagen membranes in two different species to support the healing process of comminuted fractures, according to the concept of guided bone regeneration.

원위지골 내연골종에 이차적으로 발생한 심수지 굴곡건의 견열손상 (Flexor Digitorum Avulsion Secondary to Enchondroma of the Distal Phalanx)

  • 문성훈;홍철기;이운상;박진우
    • 대한정형외과학회지
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    • 제54권5호
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    • pp.447-451
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    • 2019
  • 원위지골의 내연골종에 이차적으로 발생한 심수지 굴곡건의 견열 손상은 매우 드문 손상으로 아직 국내에 보고된 증례는 없다. 내연 골종의 병적 골절에 대해서는 단순 소파술 후 주두돌기로부터 채취한 자가골을 이식하여 치료하였고, 견열 손상에 대해서는 끌어내기 봉합법을 통해 골편을 원위지골에 재부착하였다. 저자들은 이러한 치료를 통해 골 유합과 좋은 기능적 결과를 얻게 되어 이에 대해 보고하고자 한다.

노인 환자의 급성 외상성 견관절 전방 탈구에서 회전근개 파열과 동반된 거대 Hill-Sachs 병변에 대해 간접 정복 및 지지대 목적의 동종 장골 삼중 피질골 이식을 통한 치료 1예 (Large Hill-Sachs Lesion Combined with a Rotator Cuff Tear in an Acute Traumatic Anterior Dislocation of the Shoulder in an Elderly Patient Treated with an Allogenic Iliac Tricortical Bone Graft)

  • 현윤석;임진규;백승하;박진호;이승진
    • 대한정형외과학회지
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    • 제55권2호
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    • pp.188-192
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    • 2020
  • 본 증례에서는 노인 환자에 발생한 견관절의 급성 외상성 전방 탈구에서 회전근개 파열과 동반되어 생긴 거대 Hill-Sachs 병변에 대한 치료법으로 상완 이두근 구를 통한 간접 정복과 동종 장골 삼중 피질골 이식을 시행하였다. 수술 후 6개월째, 회전근개의 치유 및 골유합을 확인하였다. 또한 American Shoulder and Elbow Surgeons (ASES) shoulder score 95점, 전방 능동 거상 155도, 외전 120도, 외전 90도에서 외회전 70도와 내회전 30도의 운동 범위로 만족스러운 임상결과를 보였다. 노인 환자에 발생한 견관절의 급성 외상성 전방 탈구에서 회전근개의 파열과 동반된 거대 Hill-Sachs 병변 대해 본 수술 방법을 고려해 볼 수 있을 것이다.